{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:19:50Z","timestamp":1792783190411,"version":"4.5.0"},"reference-count":55,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Link\u00f6ping University","id":[{"id":"https:\/\/ror.org\/05ynxx418","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Health Care and Philos"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Modern healthcare faces a mismatch in terms of supply and demand which makes careful priority setting imperative. The debate on priority setting in healthcare has focussed on pharmaceuticals and other tangible medical interventions. This article instead looks at the time that healthcare professionals have at their disposal. How should healthcare professionals divide their time between tangible medical interventions and communication with patients? What communicative goals should be prioritised?\u00a0This normative analysis focusses on situations which involve time consuming communication between professionals and patients, which cannot easily be carried out alongside other medical interventions or is itself the main intervention as in psychotherapy. The arguments brought forth are applicable across the healthcare panorama and apply to all healthcare professions. It is argued that there are many different communicative goals which cannot be reduced to one type. Some recommendations are given and defended regarding the priority setting of different communicative goals. For reasons of value coherence and formal equality, all patients should be given a baseline amount of time for communication and time beyond that should be prioritised based on healthcare needs. If accepted, the arguments here highlight that a substantive part of healthcare\u2019s (time) resources should be spent on communicative tasks. Indeed, it is time that we take time for communication seriously.<\/jats:p>","DOI":"10.1007\/s11019-026-10364-0","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T06:49:06Z","timestamp":1779691746000},"page":"805-813","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prioritising time for communication in healthcare\u2014a\u00a0normative analysis"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7194-4875","authenticated-orcid":false,"given":"Joar","family":"Bj\u00f6rk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"10364_CR1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511545801","volume-title":"Dependence and autonomy in old age: An ethical framework for long-term care","author":"George J Agich","year":"2003","unstructured":"Agich, George J. 2003. Dependence and autonomy in old age: An ethical framework for long-term care. Cambridge: Cambridge University Press."},{"key":"10364_CR2","doi-asserted-by":"publisher","DOI":"10.3390\/pharmacy10050106","author":"TO Aremu","year":"2022","unstructured":"Aremu, T.O., O.E. Oluwole, K.O. Adeyinka, and J.C. Schommer. 2022. Medication adherence and compliance: Recipe for improving patient outcomes. Pharmacy (Basel). https:\/\/doi.org\/10.3390\/pharmacy10050106.","journal-title":"Pharmacy (Basel)"},{"key":"10364_CR3","doi-asserted-by":"publisher","first-page":"615","DOI":"10.15171\/ijhpm.2016.83","volume":"5","author":"R Baltussen","year":"2016","unstructured":"Baltussen, R., M.P. Jansen, E. Mikkelsen, N. Tromp, J. Hontelez, L. Bijlmakers, and G.J. Van der Wilt. 2016. Priority setting for universal health coverage: We need evidence-informed deliberative processes, not just more evidence on cost-effectiveness. International Journal of Health Policy and Management 5: 615\u2013618. https:\/\/doi.org\/10.15171\/ijhpm.2016.83.","journal-title":"International Journal of Health Policy and Management"},{"key":"10364_CR4","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1093\/heapol\/czu010","volume":"30","author":"Edwine W Barasa","year":"2014","unstructured":"Barasa, Edwine W., Sassy Molyneux, Mike English, and Susan Cleary. 2014. Setting healthcare priorities in hospitals: A review of empirical studies. Health Policy and Planning 30: 386\u2013396. https:\/\/doi.org\/10.1093\/heapol\/czu010.","journal-title":"Health Policy and Planning"},{"key":"10364_CR5","doi-asserted-by":"publisher","first-page":"1692","DOI":"10.1111\/imj.16220","volume":"53","author":"Jessica M. Barker","year":"2023","unstructured":"Barker, Jessica M., and Kate Faasse. 2023. Influence of side effect information on patient willingness to take medication: Consequences for informed consent and medication adherence. Internal Medicine Journal 53: 1692\u20131696. https:\/\/doi.org\/10.1111\/imj.16220.","journal-title":"Internal Medicine Journal"},{"key":"10364_CR6","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1017\/S0963180111000259","volume":"20","author":"Tom L. Beauchamp","year":"2011","unstructured":"Beauchamp, Tom L. 2011. Informed consent: Its history, meaning, and present challenges. Cambridge Quarterly of Healthcare Ethics 20: 515\u2013523.","journal-title":"Cambridge Quarterly of Healthcare Ethics"},{"key":"10364_CR7","unstructured":"Beauchamp, Tom L., and James F. Childress. 2019. Principles of biomedical ethics. New York, NY: Oxford university press."},{"key":"10364_CR8","doi-asserted-by":"publisher","first-page":"97","DOI":"10.7326\/0003-4819-155-2-201107190-00005","volume":"155","author":"Nancy D Berkman","year":"2011","unstructured":"Berkman, Nancy D., Stacey L. Sheridan, Katrina E. Donahue, David J. Halpern, and Karen Crotty. 2011. Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine 155: 97\u2013107.","journal-title":"Annals of Internal Medicine"},{"key":"10364_CR9","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1001\/archsurg.141.1.86","volume":"141","author":"James L. Bernat","year":"2006","unstructured":"Bernat, James L., and Lynn M. Peterson. 2006. Patient-centered informed consent in surgical practice. Archives of Surgery 141: 86\u201392. https:\/\/doi.org\/10.1001\/archsurg.141.1.86.","journal-title":"Archives of Surgery"},{"key":"10364_CR10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.q166","volume":"385","author":"Karen B. Born","year":"2024","unstructured":"Born, Karen B., Wendy Levinson, C.S. Pramesh, and Eve A. Kerr. 2024. Choosing wisely in a time of resource constraints. BMJ 385: q166. https:\/\/doi.org\/10.1136\/bmj.q166.","journal-title":"BMJ"},{"key":"10364_CR11","doi-asserted-by":"publisher","first-page":"792","DOI":"10.1001\/jama.2024.0371","volume":"331","author":"Joseph N Cappella","year":"2024","unstructured":"Cappella, Joseph N., and Richard L. Street. 2024. Delivering effective messages in the patient-clinician encounter. JAMA 331: 792\u2013793.","journal-title":"JAMA"},{"key":"10364_CR12","doi-asserted-by":"publisher","DOI":"10.1136\/bmjhci-2022-100726","volume":"30","author":"Susan Chimonas","year":"2023","unstructured":"Chimonas, Susan, Allison Lipitz-Snyderman, Konstantina Matsoukas, and Gilad Kuperman. 2023. Electronic consent in clinical care: An international scoping review. BMJ Health & Care Informatics 30: e100726. https:\/\/doi.org\/10.1136\/bmjhci-2022-100726.","journal-title":"BMJ Health & Care Informatics"},{"key":"10364_CR13","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.70187","volume":"12","author":"Elisabeth Coyne","year":"2025","unstructured":"Coyne, Elisabeth, and Karin B. Dieperink. 2025. Effective health communication to reduce avoidable readmission: Enhancing understanding for patients and families. Nursing Open 12: e70187.","journal-title":"Nursing Open"},{"key":"10364_CR14","volume-title":"Setting limits fairly: can we learn to share medical resources?","author":"Norman Daniels","year":"2008","unstructured":"Daniels, Norman, and James Sabin. 2008. Setting limits fairly: can we learn to share medical resources? New York: Oxford University Press."},{"key":"10364_CR15","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.pec.2008.12.006","volume":"74","author":"Hanneke De Haes","year":"2009","unstructured":"De Haes, Hanneke, and Jozien Bensing. 2009. Endpoints in medical communication research, proposing a framework of functions and outcomes. Patient education and counseling 74: 287\u2013294.","journal-title":"Patient education and counseling"},{"key":"10364_CR16","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014570","volume":"7","author":"Charlotte Denniston","year":"2017","unstructured":"Denniston, Charlotte, Elizabeth Molloy, Debra Nestel, Robyn Woodward-Kron, and Jennifer L. Keating. 2017. Learning outcomes for communication skills across the health professions: A systematic literature review and qualitative synthesis. BMJ Open 7: e014570. https:\/\/doi.org\/10.1136\/bmjopen-2016-014570.","journal-title":"BMJ Open"},{"key":"10364_CR17","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1007\/s10728-018-0358-x","volume":"27","author":"Michael Dunn","year":"2019","unstructured":"Dunn, Michael, K. Fulford, Jonathan Herring, and Ashok Handa. 2019. Between the reasonable and the particular: Deflating autonomy in the legal regulation of informed consent to medical treatment. Health Care Analysis 27: 110\u2013127.","journal-title":"Health Care Analysis"},{"key":"10364_CR18","doi-asserted-by":"publisher","first-page":"416","DOI":"10.1258\/jrsm.2012.120039","volume":"105","author":"Vikki A Entwistle","year":"2012","unstructured":"Entwistle, Vikki A., Alan Cribb, and Ian S. Watt. 2012. Shared decision-making: Enhancing the clinical relevance. Journal of the Royal Society of Medicine 105: 416\u2013421.","journal-title":"Journal of the Royal Society of Medicine"},{"key":"10364_CR19","unstructured":"General Medical Council. 2020. Decision making and consent [Online].\u00a0https:\/\/www.gmc-uk.org\/-\/media\/documents\/gmc-guidance-for-doctors---decision-making-and-consent-english_pdf-84191055.pdf . Accessed 4 June 2024."},{"key":"10364_CR20","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1177\/0272989x19896348","volume":"40","author":"J Glaser","year":"2020","unstructured":"Glaser, J., S. Nouri, A. Fernandez, R.L. Sudore, D. Schillinger, M. Klein-Fedyshin, and Y. Schenker. 2020. Interventions to improve patient comprehension in informed consent for medical and surgical procedures: An updated systematic review. Medical Decision Making 40: 119\u2013143. https:\/\/doi.org\/10.1177\/0272989x19896348.","journal-title":"Medical Decision Making"},{"key":"10364_CR21","unstructured":"Glassman, Amanda, and Kalipso Chalkidou. 2012. Priority-Setting in Health - Building institutions for smarter public spending. In: CENTER FOR GLOBAL DEVELOPMENT\u2019S PRIORITY-SETTING INSTITUTIONS FOR GLOBAL HEALTH WORKING GROUP (ed.)."},{"key":"10364_CR22","doi-asserted-by":"publisher","first-page":"1679","DOI":"10.1016\/j.pec.2021.11.004","volume":"105","author":"Sanya Grover","year":"2022","unstructured":"Grover, Sanya, Aoife Fitzpatrick, Farah Tabassum Azim, Patrocinio Ariza-Vega, Paule Bellwood, Jane Burns, Elissa Burton, Lena Fleig, Lindy Clemson, Christiane A. Hoppmann, Kenneth M. Madden, Morgan Price, Dolores Langford, and Maureen C. Ashe. 2022. Defining and implementing patient-centered care: An umbrella review. Patient Education and Counseling 105: 1679\u20131688. https:\/\/doi.org\/10.1016\/j.pec.2021.11.004.","journal-title":"Patient Education and Counseling"},{"key":"10364_CR23","doi-asserted-by":"publisher","first-page":"1505","DOI":"10.1016\/j.pec.2016.07.014","volume":"99","author":"P\u00e5l Gulbrandsen","year":"2016","unstructured":"Gulbrandsen, P\u00e5l., Marla L. Clayman, Mary Catherine Beach, Paul K. Han, Emily F. Boss, Eirik H. Ofstad, and Glyn Elwyn. 2016. Shared decision-making as an existential journey: Aiming for restored autonomous capacity. Patient Education and Counseling 99: 1505\u20131510.","journal-title":"Patient Education and Counseling"},{"key":"10364_CR24","volume-title":"Characterising needs in health care priority setting","author":"Erik Gustavsson","year":"2017","unstructured":"Gustavsson, Erik. 2017. Characterising needs in health care priority setting. Link\u00f6ping: Link\u00f6ping University Electronic."},{"key":"10364_CR25","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1007\/s11019-014-9568-7","volume":"18","author":"Erik Gustavsson","year":"2015","unstructured":"Gustavsson, Erik, and Lars Sandman. 2015. Health-care needs and shared decision-making in priority-setting. Medicine, Health Care and Philosophy 18: 13\u201322. https:\/\/doi.org\/10.1007\/s11019-014-9568-7.","journal-title":"Medicine, Health Care and Philosophy"},{"key":"10364_CR26","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1111\/1468-0009.00223","volume":"79","author":"Mark A Hall","year":"2001","unstructured":"Hall, Mark A., Elizabeth Dugan, Beiyao Zheng, and Aneil K. Mishra. 2001. Trust in physicians and medical institutions: What is it, can it be measured, and does it matter? The Milbank Quarterly 79: 613\u2013639.","journal-title":"The Milbank Quarterly"},{"key":"10364_CR27","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1016\/j.healthpol.2019.11.010","volume":"124","author":"Bj\u00f8rn Hofmann","year":"2020","unstructured":"Hofmann, Bj\u00f8rn. 2020. Biases distorting priority setting. Health Policy 124: 52\u201360.","journal-title":"Health Policy"},{"key":"10364_CR28","doi-asserted-by":"publisher","first-page":"1100","DOI":"10.1001\/jama.293.9.1100","volume":"293","author":"EB Larson","year":"2005","unstructured":"Larson, E.B., and X. Yao. 2005. Clinical empathy as emotional labor in the patient-physician relationship. Journal of the American Medical Association 293: 1100\u20131106. https:\/\/doi.org\/10.1001\/jama.293.9.1100.","journal-title":"Journal of the American Medical Association"},{"key":"10364_CR29","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-17430-6","volume":"12","author":"Sun Kyong Lee","year":"2022","unstructured":"Lee, Sun Kyong, Juhyung Sun, Seulki Jang, and Shane Connelly. 2022. Misinformation of COVID-19 vaccines and vaccine hesitancy. Scientific Reports 12: 13681. https:\/\/doi.org\/10.1038\/s41598-022-17430-6.","journal-title":"Scientific Reports"},{"key":"10364_CR30","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-024-02435-z","volume":"25","author":"Seraina Petra Lerch","year":"2024","unstructured":"Lerch, Seraina Petra, Rahel H\u00e4nggi, Yara Bussmann, and Andrea L\u00f6rwald. 2024. A model of contributors to a trusting patient-physician relationship: A critical review using a systematic search strategy. BMC Primary Care 25: 194. https:\/\/doi.org\/10.1186\/s12875-024-02435-z.","journal-title":"BMC Primary Care"},{"key":"10364_CR31","doi-asserted-by":"publisher","first-page":"108158","DOI":"10.1016\/j.pec.2024.108158","volume":"122","author":"Gregory Makoul","year":"2024","unstructured":"Makoul, Gregory, Lorraine Noble, P\u00e5l, Gulbrandsen, and Sandra van Dulmen and Consensus Working Group. 2024. Reinforcing the humanity in healthcare: The Glasgow Consensus Statement on effective communication in clinical encounters. Patient Education and Counseling 122:108158.","journal-title":"Patient Education and Counseling"},{"key":"10364_CR32","doi-asserted-by":"publisher","first-page":"1978","DOI":"10.1378\/chest.124.5.1978","volume":"124","author":"Constantine A Manthous","year":"2003","unstructured":"Manthous, Constantine A., Angela DeGirolamo, Christopher Haddad, and Yaw Amoateng-Adjepong. 2003. Informed consent for medical procedures: Local and national practices. Chest 124: 1978\u20131984.","journal-title":"Chest"},{"key":"10364_CR33","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-060158","volume":"12","author":"Jean M McQueen","year":"2022","unstructured":"McQueen, Jean M., Kyle R. Gibson, Moira Manson, and Morag Francis. 2022. Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. BMJ Open 12: e060158.","journal-title":"BMJ Open"},{"key":"10364_CR34","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1186\/s12916-016-0624-4","volume":"14","author":"Ole F Norheim","year":"2016","unstructured":"Norheim, Ole F. 2016. Ethical priority setting for universal health coverage: Challenges in deciding upon fair distribution of health services. BMC Medicine 14: 75.","journal-title":"BMC Medicine"},{"key":"10364_CR35","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1186\/1478-7547-12-18","volume":"12","author":"Ole F Norheim","year":"2014","unstructured":"Norheim, Ole F., Rob Baltussen, Mira Johri, Dan Chisholm, Erik Nord, Dan W. Brock, Per Carlsson, Richard Cookson, Norman Daniels, and Marion Danis. 2014. Guidance on priority setting in health care (GPS-Health): The inclusion of equity criteria not captured by cost-effectiveness analysis. Cost Effectiveness and Resource Allocation 12: 18.","journal-title":"Cost Effectiveness and Resource Allocation"},{"key":"10364_CR36","volume-title":"Anarchy, state, and Utopia","author":"Robert Nozick","year":"1974","unstructured":"Nozick, Robert. 1974. Anarchy, state, and Utopia. Oxford: Blackwell."},{"key":"10364_CR37","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1136\/jme.29.1.4","volume":"29","author":"Onora O'Neill","year":"2003","unstructured":"O\u2019Neill, Onora. 2003. Some limits of informed consent. Journal of Medical Ethics 29: 4\u20137.","journal-title":"Journal of Medical Ethics"},{"key":"10364_CR38","doi-asserted-by":"publisher","unstructured":"OECD\/European Commission. 2024. Health at a glance: State of health in the EU. https:\/\/doi.org\/10.1787\/b3704e14-en","DOI":"10.1787\/b3704e14-en"},{"key":"10364_CR39","doi-asserted-by":"publisher","first-page":"2407","DOI":"10.1016\/j.pain.2013.07.019","volume":"154","author":"Tamar Pincus","year":"2013","unstructured":"Pincus, Tamar, Nicola Holt, Steven Vogel, Martin Underwood, Richard Savage, David Andrew Walsh, and Stephanie Jane Caroline. Taylor. 2013. Cognitive and affective reassurance and patient outcomes in primary care: A systematic review. PAIN 154: 2407\u20132416. https:\/\/doi.org\/10.1016\/j.pain.2013.07.019.","journal-title":"PAIN"},{"key":"10364_CR40","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1093\/eurpub\/ckaf012","volume":"35","author":"Boris Polanco","year":"2025","unstructured":"Polanco, Boris, Ana O\u00f1a, Armin Gemperli, and Diana Pacheco Barzallo. 2025. Excess healthcare utilization and costs linked to chronic conditions: A comparative study of nine European countries. European Journal of Public Health 35: 216\u2013227. https:\/\/doi.org\/10.1093\/eurpub\/ckaf012.","journal-title":"European Journal of Public Health"},{"key":"10364_CR41","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1002\/hast.1471","volume":"53","author":"Samuel Reis-Dennis","year":"2023","unstructured":"Reis-Dennis, Samuel. 2023. Dignity and the founding myth of bioethics. Hastings Center Report 53: 26\u201335.","journal-title":"Hastings Center Report"},{"key":"10364_CR42","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f2614","volume-title":"Let the patient revolution begin","author":"Tessa Richards","year":"2013","unstructured":"Richards, Tessa, Victor M. Montori, Fiona Godlee, Peter Lapsley, and Dave Paul. 2013. Let the patient revolution begin. British Medical Journal Publishing Group."},{"key":"10364_CR43","doi-asserted-by":"crossref","unstructured":"Sabik, Lindsay M., and Reidar K. Lie. 2008. Priority setting in health care: Lessons from the experiences of eight countries. International Journal for Equity in Health 7:4.","DOI":"10.1186\/1475-9276-7-4"},{"key":"10364_CR44","doi-asserted-by":"publisher","first-page":"50","DOI":"10.3384\/de-ethica.2001-8819.237450","volume":"7","author":"Lars Sandman","year":"2023","unstructured":"Sandman, Lars. 2023. In defense of a \u2018thick\u2019formal equality principle in healthcare resource distribution. De Ethica 7: 50\u201367.","journal-title":"De Ethica"},{"key":"10364_CR45","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s10728-016-0333-3","volume":"25","author":"Lars Sandman","year":"2017","unstructured":"Sandman, Lars, and Erik Gustavsson. 2017. The (ir) relevance of group size in health care priority setting: A reply to Juth. Health Care Analysis 25: 21\u201333.","journal-title":"Health Care Analysis"},{"key":"10364_CR46","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2025.2554766","author":"Hannah Tess Scotch","year":"2025","unstructured":"Scotch, Hannah Tess, Christine M. Baugh, Matthew DeCamp, Lauren Taylor, Lindsey E. Fish, Susan Dorr Goold, Matthew K. Wynia, and Eric G. Campbell. 2025. Principlistic equality: The relative importance of the four principles among primary and urgent care clinicians. The American Journal of Bioethics. https:\/\/doi.org\/10.1080\/15265161.2025.2554766.","journal-title":"The American Journal of Bioethics"},{"key":"10364_CR47","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06078-z","volume":"21","author":"Brayan V. Seixas","year":"2021","unstructured":"Seixas, Brayan V., Dean A. Regier, Stirling Bryan, and Craig Mitton. 2021. Describing practices of priority setting and resource allocation in publicly funded health care systems of high-income countries. BMC Health Services Research 21: 90. https:\/\/doi.org\/10.1186\/s12913-021-06078-z.","journal-title":"BMC Health Services Research"},{"key":"10364_CR48","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1080\/10376178.2015.1020981","volume":"52","author":"Sandra Sharp","year":"2016","unstructured":"Sharp, Sandra, Margaret McAllister, and Marc Broadbent. 2016. The vital blend of clinical competence and compassion: How patients experience person-centred care. Contemporary Nurse 52: 300\u2013312. https:\/\/doi.org\/10.1080\/10376178.2015.1020981.","journal-title":"Contemporary Nurse"},{"key":"10364_CR49","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1093\/bmb\/ldac038","volume":"145","author":"Merle Spriggs","year":"2023","unstructured":"Spriggs, Merle. 2023. Children and bioethics: Clarifying consent and assent in medical and research settings. British Medical Bulletin 145: 110\u2013119.","journal-title":"British Medical Bulletin"},{"key":"10364_CR50","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/j.pec.2008.11.015","volume":"74","author":"Richard L Street Jr","year":"2009","unstructured":"Street, Richard L., Jr., Gregory Makoul, Neeraj K. Arora, and Ronald M. Epstein. 2009. How does communication heal? Pathways linking clinician\u2013patient communication to health outcomes. Patient Education and Counseling 74: 295\u2013301.","journal-title":"Patient Education and Counseling"},{"key":"10364_CR51","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1370\/afm.240419","volume":"23","author":"Kumara Raja Sundar","year":"2025","unstructured":"Sundar, Kumara Raja. 2025. Managing patient demand in a value-based system. The Annals of Family Medicine 23: 368\u2013370.","journal-title":"The Annals of Family Medicine"},{"key":"10364_CR52","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12284","volume":"15","author":"Annelie J Sundler","year":"2020","unstructured":"Sundler, Annelie J., Frida Hjertberg, Helena Keri, and Inger K. Holmstr\u00f6m. 2020. Attributes of person-centred communication: A qualitative exploration of communication with older persons in home health care. International Journal of Older People Nursing 15: e12284. https:\/\/doi.org\/10.1111\/opn.12284.","journal-title":"International Journal of Older People Nursing"},{"key":"10364_CR53","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1449707","volume":"12","author":"Antonio Vallano","year":"2024","unstructured":"Vallano, Antonio, and Caridad Pontes. 2024. Escalating costs of innovative medicines: Perspective and proposals. Frontiers in Public Health 12: 1449707.","journal-title":"Frontiers in Public Health"},{"key":"10364_CR54","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2024.108285","volume":"125","author":"Thomas H Wieringa","year":"2024","unstructured":"Wieringa, Thomas H., Montserrat Le\u00f3n-Garc\u00eda, Nataly R. Espinoza Su\u00e1rez, Mar\u00eda Jos\u00e9. Hern\u00e1ndez-Leal, Cristian Soto Jacome, Yaara Zisman-Ilani, Ren\u00e9 HJ. Otten, Victor M. Montori, and Arwen H. Pieterse. 2024. The role of time in involving patients with cancer in treatment decision making: A scoping review. Patient Education and Counseling 125: 108285.","journal-title":"Patient Education and Counseling"},{"key":"10364_CR55","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1353\/hrq.2014.0027","volume":"36","author":"Alicia Ely Yamin","year":"2014","unstructured":"Yamin, Alicia Ely, and Ole Frithjof Norheim. 2014. Taking equality seriously: Applying human rights frameworks to priority setting in health. Human Rights Quarterly 36: 296\u2013324.","journal-title":"Human Rights Quarterly"}],"container-title":["Medicine, Health Care and Philosophy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11019-026-10364-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11019-026-10364-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11019-026-10364-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T11:07:58Z","timestamp":1791025678000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11019-026-10364-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,25]]},"references-count":55,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10364"],"URL":"https:\/\/doi.org\/10.1007\/s11019-026-10364-0","relation":{},"ISSN":["1386-7423","1572-8633"],"issn-type":[{"value":"1386-7423","type":"print"},{"value":"1572-8633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,25]]},"assertion":[{"value":"22 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"None.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}